House Speaker Paul Ryan said in the Rose Garden, "It makes health care more affordable, it takes care of our most vulnerable and it shifts power from Washington back to the states, and most importantly, back to you, the patient."

"Most people don’t know who their Member of Congress is. Well they do now. They know them as a Member of Congress who made their premiums and out-of-pocket go up, had a crushing age tax on those 50 to 64, have 24 million people fewer have access to health care, health insurance, and again, being very casual, undermining recklessly Medicare," Democratic Leader Nancy Pelosi said.